Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HENDERSON VICTOR WIJAYA, PA-C
Active Sole ProprietorHENDERSON VICTOR WIJAYA, PA-C is a Medical Physician Assistant healthcare provider located in FORT DRUM, New York. NPI 1326418823 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT DRUM, NY
Registration Details
- NPI Number
- 1326418823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2015 (10.902763351078 yrs)
- Last Updated
- Sep 30, 2023
- Licenses
-
1178843028353 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111050 MOUNT BELVEDERE BLVDFORT DRUM, NY, 13602Browse NY providers · Browse ZIP 13602
- Phone
- 3157726976
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| JEFFREY GLEN HART | PA-C | 1396728846 |
| MR. PETER VERNON GOETCHIUS | PHYSICIAN ASSISTANT | 1285610451 |
| MR. GEORGE JOSEPH DEVITA | PA-C | 1104803964 |
| JEANNE YEAGLE | P.A. | 1902883564 |
| MR. GREGORY JOHN PATAKY | APA-C | 1821076324 |
| MS. TANYA MONIQUE PEREZ | PA | 1881672350 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.